| NPI | 1124382445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD15538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD15538) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI LP03372) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2021-06-09 |