| NPI | 1578058152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME167006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 173750) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-08-28 |