| NPI | 1639607245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD17184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17184) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 79402) | |
| 208M00000X Hospitalist (Licence: RI MD17184) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2025-01-27 |