| NPI | 1720430648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 335259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 335259) |
| 208M00000X Hospitalist (Licence: LA 335259) | |
| 207R00000X Internal Medicine (Licence: PA MD467939) | |
| 208M00000X Hospitalist (Licence: PA MD467939) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2026-05-13 |