| NPI | 1609336577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 82127) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA MD-51314) |
| 207R00000X Internal Medicine (Licence: IA MD-51314) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-08-11 |