| NPI | 1598887895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 300472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 51630) |
| 207R00000X Internal Medicine (Licence: OH 35.89191) | |
| 207R00000X Internal Medicine (Licence: NY 300472) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 51630) | |
| 208M00000X Hospitalist (Licence: OH 35.89191) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-09-16 |