| NPI | 1467717520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 02005601A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315055606) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 34.011985) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 34.011985) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2022-12-20 |