| NPI | 1548768450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101267419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101267419) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2025-04-22 |