| NPI | 1356768287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.129504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35129504) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2022-07-12 |