| NPI | 1619263829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 275179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275179) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD043879) | |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2016-02-24 |