| NPI | 1588893218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2010-00960) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2010-00960) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2019-10-15 |