| NPI | 1386905941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35125260) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D83305) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2020-06-04 |