| NPI | 1952416505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-099331) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME 016881) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-12-15 |