| NPI | 1770979098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD186947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD186947) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-06-15 |