| NPI | 1245662436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 81716) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2013-01276) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2021-04-22 |