| NPI | 1326537812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 102894) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T4042) |
| 208M00000X Hospitalist (Licence: TX T4042) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2025-08-01 |