| NPI | 1871934547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ID O-1267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS14160) |
| 207R00000X Internal Medicine (Licence: ID O-1267) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2020-12-08 |