| NPI | 1063726206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 308609) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018683) |
| 207R00000X Internal Medicine (Licence: MI 5101018683) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2022-03-20 |