| NPI | 1376962357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T8855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 270860) |
| 208M00000X Hospitalist (Licence: MA 270860) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2022-09-28 |