| NPI | 1275714669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: LA 205210) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA MD.205210) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2024-11-14 |