| NPI | 1093197840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101290030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01089409A) |
| 208M00000X Hospitalist (Licence: NY 294501) | |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2026-10-06 |