| NPI | 1073530432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: SC 39335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229854) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 44872) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101245298) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-11-11 |