| NPI | 1245891886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301509547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.145282) |
| 207R00000X Internal Medicine (Licence: MI 4351044857) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-01-24 |