| NPI | 1417451162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2024024367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T0201) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T0201) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-07-22 |