NPI | 1528556917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME173936) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101275365) |
207R00000X Internal Medicine (Licence: IA MD-48597) | |
208M00000X Hospitalist (Licence: IA MD-48597) | |
Enumeration Date | 2018-05-01 |
Last Update Date | 2025-07-29 |