| NPI | 1871762971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME136803) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 60534) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0069619) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2022-09-15 |