| NPI | 1881042232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101275077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03710) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-07-19 |