| NPI | 1083701965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C54593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 041916) |
| 208M00000X Hospitalist (Licence: CA C54593) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-03-04 |