| NPI | 1891255840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.164165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.164165) |
| 208M00000X Hospitalist (Licence: IL 036164165) | |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2026-06-09 |