| NPI | 1154386290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 40198) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C54846) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 84139) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-06-13 |