| NPI | 1396760021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AK 5841) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI MD-23115) |
| 207R00000X Internal Medicine (Licence: AK 3932) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-05-01 |