| NPI | 1699811547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 13422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217012) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 217012) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-01-15 |