| NPI | 1902810500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: GA 039666) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: SC 13159) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-06-18 |