| NPI | 1427342401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD22909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD22909) |
| 207R00000X Internal Medicine (Licence: MA L-247653) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2019-07-01 |