| NPI | 1043325228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 31350) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: NE 31350) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-01-07 |