| NPI | 1871783407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 57472) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 20720) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-09-05 |