| NPI | 1174645287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2012-01013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01013) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-10-20 |