| NPI | 1245201045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101021014) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 541436644) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-09-25 |