| NPI | 1548490840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2012019678) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 63587) |
| 208M00000X Hospitalist (Licence: MO 2012019678) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2025-04-25 |