| NPI | 1265792196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036134301) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD452317) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-05-12 |