| NPI | 1891174397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 1891174397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107350) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2025-09-23 |