| NPI | 1992155949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0092324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018033140) |
| 208D00000X General Practice (Licence: MO 2018033140) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-05-17 |