| NPI | 1912915109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0037817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0037817) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 050766) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-04-19 |