| NPI | 1740629096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 90222) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 19067-875) |
| 207R00000X Internal Medicine (Licence: SC 35701) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2021-12-21 |