| NPI | 1942444609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 7769969-8905) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: OH 35122859) |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2021-11-17 |