| NPI | 1619397676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD16010) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 1025966) |
| 207R00000X Internal Medicine (Licence: RI MD16010) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2026-02-06 |