| NPI | 1881702595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2008-00829) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH RT-1273) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-03-29 |