| NPI | 1003260787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: GA 103789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019024548) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2019024548) | |
| 208M00000X Hospitalist (Licence: MO 2019024548) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-07-22 |