| NPI | 1194270017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 72077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31641) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2024-06-18 |