| NPI | 1033491642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 57995) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME118506) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2022-03-31 |