| NPI | 1326486416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 5101020392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020392) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-07-07 |