| NPI | 1174559512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L9337) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX L9337) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2014-08-15 |