| NPI | 1992318166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 76080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-23352) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2024-06-25 |