| NPI | 1578135752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD500002983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351047824) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-06-30 |