| NPI | 1093017253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2019-02784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY p69451) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 58677) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 88745) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 101507) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 40545) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101273972) | |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2025-06-16 |