| NPI | 1255397782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0055386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 31951) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042-0011849) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2025-05-08 |