| NPI | 1548490840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2012019678) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2012019678) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 63587) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2018-05-18 |