| NPI | 1316172240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD70062308) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D74629) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2026-04-12 |