| NPI | 1417957234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 38166) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 15487) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042-0012323) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2024-08-06 |