| NPI | 1679988323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T7475) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX BP10066517) |
| 208M00000X Hospitalist (Licence: MO 2017021704) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2022-07-15 |