| NPI | 1003109364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 331370) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 259072) |
| 207R00000X Internal Medicine (Licence: MA 259072) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2022-08-22 |