| NPI | 1326667346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 187091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220309) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2023-11-20 |