| NPI | 1417023698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101057022) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0052967) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD30808) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2021-05-31 |