| NPI | 1134509771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME149476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60821429) |
| 208M00000X Hospitalist (Licence: WA MD60821429) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-09-07 |