| NPI | 1386064640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 85132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-00651) |
| 207R00000X Internal Medicine (Licence: SC 85132) | |
| 208M00000X Hospitalist (Licence: NC 2017-00651) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2021-09-22 |