| NPI | 1184185738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301517090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0070504) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2026-07-22 |