| NPI | 1669714226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2019-00651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000055851) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-08-19 |