| NPI | 1659550309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 52717) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: MN 52717) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2021-09-28 |