| NPI | 1346238474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME0089625) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AK 6713) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-07-01 |