| NPI | 1518014307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 42470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 42470) |
| 207R00000X Internal Medicine (Licence: TN 42470) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-06-02 |