| NPI | 1467689505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 35206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101251836) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2023-01-27 |