NPI | 1588848659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A125814) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256135) |
207R00000X Internal Medicine (Licence: CT 0049765) | |
208M00000X Hospitalist (Licence: CT 049765) | |
Enumeration Date | 2007-12-24 |
Last Update Date | 2021-12-08 |