| NPI | 1326369794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301111453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301111453) |
| 207R00000X Internal Medicine (Licence: MO 2013020343) | |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2023-06-08 |