| NPI | 1316176597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S1929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 50896) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 25275) | |
| 208M00000X Hospitalist (Licence: AZ 50896) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2019-10-09 |