| NPI | 1376982223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 323550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458706) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2020-08-05 |