| NPI | 1982931705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 56789) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MN 56789) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2020-08-11 |