| NPI | 1942461132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 064969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003052) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-09-17 |