| NPI | 1568650158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WI 53292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235276) |
| 208000000X Pediatrics (Licence: WI 53292-020) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 53292) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2013-11-22 |