| NPI | 1568581759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A95562) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A95562) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-11-27 |