| NPI | 1114121092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WI 53456) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 53456) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2021-01-20 |