| NPI | 1891284030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2024017800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65931) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 65931) | |
| 207R00000X Internal Medicine (Licence: MN 29212) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-07-29 |