| NPI | 1942598560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 51173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 199787) |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2021-02-03 |