| NPI | 1265960702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD482335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271196) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2025-01-16 |