| NPI | 1437679388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101279620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271028) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-11-29 |