| NPI | 1649474099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 47922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098082) |
| 207R00000X Internal Medicine (Licence: KY 47922) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-08-02 |