| NPI | 1770501769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 49823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-13258) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A85175) | |
| 208M00000X Hospitalist (Licence: HI MD-13258) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-06-21 |