| NPI | 1689282279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT227649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78107) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-07-13 |