| NPI | 1043573009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 52275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012017805) |
| 207RH0000X Internal Medicine, Hematology (Licence: SC 52275) | |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2024-06-18 |