| 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 |