| NPI | 1356839013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 27563) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY TP168) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2025-10-15 |