| NPI | 1730528266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A172328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015004630) |
| 208M00000X Hospitalist (Licence: MO 2015004630) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2021-07-14 |