| NPI | 1023205697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101250498) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 43191) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 061366) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2021-05-24 |