| NPI | 1689768848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A84507) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M11056) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-11-02 |