| NPI | 1003882432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101242990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD13131) |
| 207R00000X Internal Medicine (Licence: MD D0063734) | |
| 207R00000X Internal Medicine (Licence: PA MD425365) | |
| 207R00000X Internal Medicine (Licence: MA 219131) | |
| Enumeration Date | 2006-02-25 |
| Last Update Date | 2023-05-24 |