| NPI | 1194847228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 69810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036116917) |
| 207R00000X Internal Medicine (Licence: UT 7309490-1205) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-116917) | |
| 208M00000X Hospitalist (Licence: UT 7309490-1205) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-11-18 |