| NPI | 1740669928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 88983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50332) |
| 208M00000X Hospitalist (Licence: KY 50332) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-02-15 |