| NPI | 1750497863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2011-0601) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2011-0601) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-03-11 |