| NPI | 1750395364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101263122) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 16276) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2007-01858) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-04-18 |