| NPI | 1639170665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 31689) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 14362) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E3185) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2017-04-04 |