| NPI | 1477909240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101265952) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101265952) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-04-24 |