| NPI | 1679529473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 44677) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 20763) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-05-02 |