NPI | 1356332894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD022722E) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DE C10009172) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD022722E) | |
Enumeration Date | 2005-11-03 |
Last Update Date | 2019-09-25 |