| NPI | 1316986425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 201000588) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101239813) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-03-29 |