| NPI | 1174520092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 10161R) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 10161R) |
| 207R00000X Internal Medicine (Licence: LA 10161R) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-11-02 |