| NPI | 1992782924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 123685) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 07013) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2020-10-22 |