| NPI | 1609154467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD21545) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 22472) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2025-04-28 |