| NPI | 1396207320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 74665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.145091) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2025-08-27 |