| NPI | 1265927149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 71185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036155931) |
| 208M00000X Hospitalist (Licence: IL 036155931) | |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2022-11-18 |