| NPI | 1164509873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 28067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 28067) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-11-11 |