| NPI | 1982800728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2009028465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007015063) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-08-23 |