NPI | 1811286024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD457823) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 267892) |
208M00000X Hospitalist (Licence: NY 267892) | |
Enumeration Date | 2011-03-29 |
Last Update Date | 2020-10-07 |