| NPI | 1679539464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0059706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0059706) |
| 208M00000X Hospitalist (Licence: MD D0059706) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2024-06-19 |