| NPI | 1922539824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101281907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4596) |
| 207R00000X Internal Medicine (Licence: VA 0101281907) | |
| 208M00000X Hospitalist (Licence: KY TP072) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-04-25 |