| NPI | 1689667263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME133388) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M6911) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2024-04-03 |