| NPI | 1265884100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.134475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134475) |
| 207R00000X Internal Medicine (Licence: OH 57.027608) | |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2024-07-29 |