| NPI | 1568049351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 71934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31623) |
| 207R00000X Internal Medicine (Licence: MN 71934) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-06-18 |