| NPI | 1992768519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CA a105289) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A105289) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A105289) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2026-06-04 |