| NPI | 1780634188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 34-010850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048110) |
| 208M00000X Hospitalist (Licence: CT 048110) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-07-18 |