| NPI | 1629259932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CT 47107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 047107) |
| 208M00000X Hospitalist (Licence: CT 0040328) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2016-02-05 |