| NPI | 1659520823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 242096) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 016621A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2016-0099) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2016-05-10 |