| NPI | 1023031929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042.0012955) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NM MD2017-0670) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 181236) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35 093949) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-07-21 |