| NPI | 1093703738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 56927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 025534) |
| 207R00000X Internal Medicine (Licence: LA .MD.025534) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-12-01 |