| NPI | 1194252148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD29407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271511) |
| 207R00000X Internal Medicine (Licence: ME MD29407) | |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2025-06-24 |