| NPI | 1154773836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301509502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268503) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-09-12 |