| NPI | 1528447448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A176454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A176454) |
| 207R00000X Internal Medicine (Licence: VA 0101261611) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101261611) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-12-29 |