| NPI | 1700909124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M-17559) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 14562) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-07-23 |