| NPI | 1962760074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A137327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 137327) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2021-02-10 |