| NPI | 1548441157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 045982) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 045982) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2009-08-25 |