| NPI | 1356760839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR DO203086) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR FC0059243) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-02-06 |