| NPI | 1164532107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD186731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 40610) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-04-17 |