| NPI | 1962760488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA MD-41689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41689) |
| 207R00000X Internal Medicine (Licence: WI 63795-20) | |
| 208M00000X Hospitalist (Licence: IA MD-41689) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2022-02-11 |