| NPI | 1528000593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 52198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.087696) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-07-18 |