| NPI | 1457363236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 28451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48562) |
| 207R00000X Internal Medicine (Licence: FL ME101737) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-04-13 |