| NPI | 1891924544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P5260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446536) |
| 208M00000X Hospitalist (Licence: NC 2012-01498) | |
| 208M00000X Hospitalist (Licence: TX P5260) | |
| 207R00000X Internal Medicine (Licence: TX P5260) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2021-07-20 |