| NPI | 1245662436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102204730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 81716) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2013-01276) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2025-08-26 |