| NPI | 1760630404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 259380) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 259380) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 259380) | |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2016-05-05 |