| NPI | 1932211281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: WI 039365) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 039365) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-06-15 |