| NPI | 1184933996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME 28108) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A144166) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 22956) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2024-04-11 |