| NPI | 1851365910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 43861-020) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301089576) |
| 2081H0002X (Licence: WI 43861-020) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-12-20 |