| NPI | 1053791517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2021-01298) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA R10218) |
| 207R00000X Internal Medicine (Licence: IA R10218) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA R10218) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA R10218) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA R10218) | |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2024-05-08 |