| NPI | 1699929281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND 12898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 71519921205) |
| Enumeration Date | 2008-11-09 |
| Last Update Date | 2023-06-22 |