| NPI | 1801826490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 19186) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 5570) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-10-07 |