| NPI | 1003376468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 57.254007) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 330279) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-05-25 |