| NPI | 1568455988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO DO36829) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KS 05-28154) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 05-28154) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-08-07 |