| NPI | 1154737724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 51209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065724) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AR NA) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2021-04-12 |