| NPI | 1124472337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-02200) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 2022-02200) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2022-02200) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-07-15 |