| NPI | 1053679217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: OH 35.126934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104260) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A104260) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2020-12-28 |