NPI | 1760773428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 265150) |
Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: PA MD483588) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: LA 334207) | |
208M00000X Hospitalist (Licence: NY 270985) | |
Enumeration Date | 2011-04-28 |
Last Update Date | 2023-12-29 |