| NPI | 1184156788 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MT231288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD470400) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT231288) | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2024-06-10 |