| NPI | 1295153575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A140417) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 22192) |
| 207R00000X Internal Medicine (Licence: CA A140417) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-11-05 |