| NPI | 1154908325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA OT024318) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 330170) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-05-27 |