| NPI | 1639433188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 91670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099976) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101264035) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2024-04-11 |