| NPI | 1942284799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 45713) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: HI MD 7394) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-02-08 |