| NPI | 1992725865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A120131) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2016-0666) |
| 207R00000X Internal Medicine (Licence: NY 239288-1) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-06-10 |