| NPI | 1407237613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 272966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272966) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-10-30 |