| NPI | 1609938067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 54286) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MO 2004001634) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-10-01 |