| NPI | 1326369562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 252601) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 252601) |
| 207R00000X Internal Medicine (Licence: MA l-245022) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2023-02-15 |