| NPI | 1124236310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 9646639-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 24834) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2025-04-04 |