| NPI | 1982196499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2024023632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024023632) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-07-02 |