| NPI | 1346428158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI MD-20238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00799) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 200900799) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2021-05-10 |