| NPI | 1609052174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ME MD28325) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CT 049624) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD433273) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2024-08-26 |