| NPI | 1922245489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD486178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-46085) |
| 207R00000X Internal Medicine (Licence: WI 54408) | |
| 208M00000X Hospitalist (Licence: IA MD-46085) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2024-10-25 |