| NPI | 1467671792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AR E-3796) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E-3796) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-03-30 |