| NPI | 1831540301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL MD.40429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212197) |
| 207R00000X Internal Medicine (Licence: PA MD468081) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-06-07 |