| NPI | 1184718314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OR MD 18627) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: OK MD18627) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-07-08 |