| NPI | 1528041571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 5282) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MT 5282) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2019-02-11 |