| NPI | 1376520270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CT 042165) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 042165) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CT 042165) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2012-11-07 |