| NPI | 1871538389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 44491) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 39976) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101244786) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-11-13 |