| NPI | 1255344131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR e0054) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E0054) |
| 207R00000X Internal Medicine (Licence: AR e0054) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-12-02 |