| NPI | 1770961575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CA A154829) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: CA A154829) |
| 207R00000X Internal Medicine (Licence: CA A154829) | |
| 208M00000X Hospitalist (Licence: CA A154829) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2025-09-11 |