| NPI | 1538575154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 65353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03195) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2020-11-04 |