| NPI | 1750598363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME99519) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 062292) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301085324) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-10-18 |