| NPI | 1851886196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2021020556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018022486) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2021-06-30 |