| NPI | 1336671130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2025-03179) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 71552) |
| 207R00000X Internal Medicine (Licence: WI 71552) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2026-01-15 |