| NPI | 1215940754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: SC 5336) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: SC 5336) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-11-02 |