| NPI | 1164453395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 254781) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME 016220) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 13992) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD169038) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-09-13 |