| NPI | 1841364908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 91031) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 286865) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M1221) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-04-26 |