| NPI | 1679869507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME141604) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2014020124) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-07-31 |