| NPI | 1811505522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 81845-20) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 81845) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-05-09 |