| NPI | 1841236395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 35066) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 19517) |
| 208M00000X Hospitalist (Licence: MS 19517) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-08-16 |