| NPI | 1073512133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 25543) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: KY 25543) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2019-08-02 |