| NPI | 1831313097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 71398) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E5741) |
| 207R00000X Internal Medicine (Licence: GA 071398) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-27 |