| NPI | 1689850620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 24455) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 205787) |
| 207R00000X Internal Medicine (Licence: GA 002147) | |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2020-07-10 |