| NPI | 1043673734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A150523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A150523) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A150523) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-06-09 |