| NPI | 1427472612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD476736) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2014-01464) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-12-16 |