| NPI | 1851330120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT MED-PHYS-LIC-115062) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 28271) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2025-04-04 |