| NPI | 1942243597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 5101015576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN DO0000001744) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-25 |