| NPI | 1467435222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 88152) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME92983) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 43408) | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2021-08-04 |