| NPI | 1215928080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX 49195) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D60333) |
| 207R00000X Internal Medicine (Licence: MD D0060333) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2026-07-13 |