| NPI | 1144741000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH R4393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD21119) |
| 207R00000X Internal Medicine (Licence: HI MDR-7386) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-07-12 |