| NPI | 1427122266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ND 12312) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 41326) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-03-07 |