| NPI | 1417222548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 58536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 62059) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 62059) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2021-05-03 |