| NPI | 1356454623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G36051) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 25248) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD27730) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-01-10 |