| NPI | 1548238918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD09655) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI 9655) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2022-09-28 |