| NPI | 1124225313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2011-00259) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2011-00259) |
| 207R00000X Internal Medicine (Licence: NC 2011-00259) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-07-15 |