| NPI | 1033114996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 36611) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101244938) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D68503) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD038146) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-06-28 |