| NPI | 1023303096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO dr.0059632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 28613) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2023-06-01 |