| NPI | 1780793059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 302384) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 18477) |
| 207R00000X Internal Medicine (Licence: MS 18477) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-10-22 |