| NPI | 1679534648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 36443) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 36443) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2024-03-14 |