| NPI | 1730410499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 25115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25155) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2022-04-05 |