| NPI | 1659789634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.142263) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 307628) |
| 207R00000X Internal Medicine (Licence: NY 307628) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2021-07-24 |