| NPI | 1336331388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 060174) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD24746) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2021-06-11 |