| NPI | 1730533779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 57.028063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57028063) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2022-03-13 |