| NPI | 1295993111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 88927) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD039964) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A126956) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2021-07-20 |