| NPI | 1619109634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MD D0100707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME112732) |
| 208M00000X Hospitalist (Licence: FL ME112732) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2024-08-13 |