| NPI | 1952863821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: RI DO01308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.015611) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-01-16 |