| NPI | 1568876340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 1014109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 292787) |
| 208M00000X Hospitalist (Licence: NY 292787) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-06-20 |