| NPI | 1528191723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 64179) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NM MD 2007-0020) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-01-13 |