| NPI | 1649534975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 66802) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 40506) |
| 207R00000X Internal Medicine (Licence: SC 40506) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M-17185) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-01-22 |