| NPI | 1972598597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD454019) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GU MTL-2023-040) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME41011) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-02-09 |