| NPI | 1538329560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 88901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 51040) |
| 207R00000X Internal Medicine (Licence: PA MD440546) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0056636) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301102451) | |
| 208M00000X Hospitalist (Licence: CT 51040) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2022-07-21 |