| NPI | 1952585788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 60726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 047521) |
| 208M00000X Hospitalist (Licence: CT 047521) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2013-08-01 |