| NPI | 1376823567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 45840) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX W4135) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 60 280695) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2026-06-18 |