| NPI | 1902832520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME47736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me47736) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2022-11-04 |