| NPI | 1609857119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 150280) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 36423) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-11-18 |