| NPI | 1215158423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C160021) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01079673A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35088140) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-11-10 |