| NPI | 1265609671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 29504) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV WV25787) |
| 207R00000X Internal Medicine (Licence: CA A103636) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 17064) | |
| 208M00000X Hospitalist (Licence: CA A103636) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2026-05-20 |