| NPI | 1760773428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 265150) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 334207) |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD483588) | |
| 208M00000X Hospitalist (Licence: NY 270985) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2025-08-07 |