| NPI | 1003819269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 37030) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 18181) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2021-06-22 |