| NPI | 1487072591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD473078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 288834) |
| 208M00000X Hospitalist (Licence: NY 288834) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2021-11-06 |