| NPI | 1275896318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD042159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD042159) |
| 207R00000X Internal Medicine (Licence: MT 18757) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2020-11-10 |