| NPI | 1417275652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 24648) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TN 51509) |
| 207R00000X Internal Medicine (Licence: TN 51509) | |
| 207R00000X Internal Medicine (Licence: VA 0101254562) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2021-06-04 |