NPI | 1710474002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX V6643) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A173419) |
207R00000X Internal Medicine (Licence: CA A173419) | |
Enumeration Date | 2018-04-23 |
Last Update Date | 2025-09-04 |