| NPI | 1073977153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME163230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0065172) |
| 208M00000X Hospitalist (Licence: CO DR.0065172) | |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME163230) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-07-17 |