| NPI | 1649700899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 272854) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA NA) |
| 207R00000X Internal Medicine (Licence: MA 272854) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-06-28 |