| NPI | 1609036227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 51394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046496) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101256852) | |
| 208M00000X Hospitalist (Licence: CT 046496) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 046496) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-05-12 |