| NPI | 1942695036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.133276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.133276) |
| 208M00000X Hospitalist (Licence: OH 35.133276) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-08-24 |