| NPI | 1942424528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R8311) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 062180) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35122112) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2018-11-21 |