| NPI | 1841201746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND 21335) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 42041) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 77921) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-09-24 |