| NPI | 1912437310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 29374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023475) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS T-4041) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-12-01 |