| NPI | 1285292227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MD D0100542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0100542) |
| 208M00000X Hospitalist (Licence: MD D0100542) | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-05-09 |