| NPI | 1932426590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME119235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME119235) |
| 207R00000X Internal Medicine (Licence: NH 16223) | |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2020-04-02 |