| NPI | 1255667655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0062478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10023108) |
| 207R00000X Internal Medicine (Licence: TX N5566) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2023-09-06 |