| NPI | 1780146258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 86070) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 317683) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2026-07-30 |