| NPI | 1164484614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AR C-7454) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR C7454) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2024-08-09 |