| NPI | 1093030215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 56964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 56964-20) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2022-01-28 |