| NPI | 1801055595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME142546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250230) |
| 208M00000X Hospitalist (Licence: AZ 42076) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-04-23 |