| NPI | 1689753014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.011115) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA L011115) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2024-11-12 |