| NPI | 1316268782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME164649) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 069699) |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2025-12-12 |