| NPI | 1295116689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 19671) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PR 19671) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 19671) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-08-15 |