| NPI | 1669599296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C172028) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME141233) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD038233L) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-12-30 |