| NPI | 1679740211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 38831) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 072010) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2021-06-04 |