| NPI | 1003807355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 41664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 41664) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-08-24 |