| NPI | 1336303940 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 35000)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434890)  | 
| 208M00000X Hospitalist (Licence: AR E-6438)  | |
| Enumeration Date | 2008-07-12 | 
| Last Update Date | 2023-01-27 |