| NPI | 1770659252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A87421) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI MD-15305) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-06-04 |