| NPI | 1235545690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD27195) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 59483) |
| 207R00000X Internal Medicine (Licence: MN 59483) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-10-17 |