| NPI | 1043489362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: CA A128983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 234601) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A128983) | |
| 208M00000X Hospitalist (Licence: CA A128983) | |
| 208M00000X Hospitalist (Licence: RI MD12726) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2023-11-27 |