| NPI | 1730543117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD61271235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD191745) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A162146) | |
| 208M00000X Hospitalist (Licence: CA A162146) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-02-15 |