| NPI | 1821262676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301102280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 26176) |
| 207R00000X Internal Medicine (Licence: NY 273504) | |
| 207R00000X Internal Medicine (Licence: MI 4301102280) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2023-03-14 |