| NPI | 1942649769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301103358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103358) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 312611) | |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2022-10-25 |