| NPI | 1992116123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.139080) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.139080) |
| 208M00000X Hospitalist (Licence: MI 4301105408) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105408) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2023-11-03 |