| NPI | 1255774972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 63549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63549-20) |
| 208M00000X Hospitalist (Licence: WI 63549) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-07-05 |