| NPI | 1720017494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME52895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME52895) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME52895) | |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME52895) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-12-26 |