| NPI | 1003089814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA DO-05026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-05026) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 9143) | |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2022-10-01 |