| NPI | 1366862484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101268376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-02123) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2018-02123) | |
| 208M00000X Hospitalist (Licence: NC 2018-02123) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-01-04 |