| NPI | 1447606348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 7579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 007342) |
| 207R00000X Internal Medicine (Licence: MN 65515) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 65515) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-03-14 |