| NPI | 1083069470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 008380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS019524) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-09-09 |