| NPI | 1841231263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 139299) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 13243) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-09-19 |