| NPI | 1407023385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 55473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255501) |
| 207R00000X Internal Medicine (Licence: FL ME112656) | |
| 207R00000X Internal Medicine (Licence: CO 55473) | |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2018-12-08 |