| NPI | 1043282155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0022663) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM 88-124) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-03-03 |