| NPI | 1639120793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 200401251) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0074270) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2025-01-21 |