| NPI | 1437135266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A92414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92414) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: CA A92414) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-12-16 |