| NPI | 1801545322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME165154) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME165154) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2026-08-06 |