| NPI | 1558365205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 18880) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 18565) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2022-07-08 |