| NPI | 1740716158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 67280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 67280) |
| 207RH0000X Internal Medicine, Hematology (Licence: TN 67280) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-11-20 |