| NPI | 1659752541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 12588) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SD 12588) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2021-06-29 |