| NPI | 1043748577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0100549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0100549) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2024-08-28 |