| NPI | 1104053438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0055891) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CO DR.0055891) |
| 207RI0008X Internal Medicine, Hepatology (Licence: CO 0050375) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2023-04-17 |