| NPI | 1457541799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 26186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007016917) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-01-15 |