| NPI | 1538460225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 97026) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 51616) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 23368) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2023-10-18 |