| NPI | 1518497940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 81925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271030) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2023-08-16 |