| NPI | 1497127054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL UO4763) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MN 68490) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 68490) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2021-05-26 |