| NPI | 1487651584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD19427) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 15893) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-08-31 |