| NPI | 1821336058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U3909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449054) |
| 208M00000X Hospitalist (Licence: PA MD449054) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2023-10-27 |