| NPI | 1942260468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 49958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49958) |
| 207R00000X Internal Medicine (Licence: FL ME 101276) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2021-04-09 |