| NPI | 1437562386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 37204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL37024) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 50438) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2022-07-21 |