| NPI | 1427269331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 305867) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 20329) |
| 207R00000X Internal Medicine (Licence: MS T-1923) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-10-22 |