| NPI | 1326303793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME145884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63362) |
| 208M00000X Hospitalist (Licence: WI 63362) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-05-23 |