| NPI | 1508153339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME154495) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 310726) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2023-01-10 |