| NPI | 1114298056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 289456) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 260481) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2018-03-30 |