| NPI | 1740283100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0023743) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 3470) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 02005407A) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2022-04-18 |