| NPI | 1790875276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C54469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-3479) |
| 208M00000X Hospitalist (Licence: AR E-3479) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-08-17 |