| NPI | 1891164307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A151675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151675) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2024-06-05 |