| NPI | 1699183129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 19140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19140) |
| 207RH0000X Internal Medicine, Hematology (Licence: TX V2046) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2025-08-20 |