| NPI | 1376988873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 018869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18869) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2024-05-21 |