| NPI | 1952563355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 46980) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01073548A) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 35.097362) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-10-01 |