| NPI | 1265635924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101275055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006015694) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-04-24 |