| NPI | 1588688840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301093803) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036093118) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301093803) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-08-21 |