| NPI | 1467742403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME DO2910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259205) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2019-09-02 |