| NPI | 1669788170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 51725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013030351) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2019-07-08 |