| NPI | 1609944586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101280001) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D68846) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2024-04-05 |