| NPI | 1912188426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2017015245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049484) |
| 208M00000X Hospitalist (Licence: CT 049484) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2019-09-11 |