| NPI | 1043426034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 23682) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND 10919) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-03-25 |