| NPI | 1770719650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 063204) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036122623) |
| 208M00000X Hospitalist (Licence: GA 063204) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2020-08-24 |