| NPI | 1922259589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 61177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME105784) |
| 207R00000X Internal Medicine (Licence: WI 61177) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2021-10-27 |