| NPI | 1053755819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NH 17634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 17634) |
| 207R00000X Internal Medicine (Licence: MA 274396) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2023-11-07 |