| NPI | 1225437247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 277629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 277629) |
| 207R00000X Internal Medicine (Licence: MA AM3529053AR21) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-11-18 |