| NPI | 1003027764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 39391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-1784) |
| 207RH0000X Internal Medicine, Hematology (Licence: SC 39391) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 19846) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-06-21 |