| NPI | 1093940736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT MED-PHYS-LIC-39793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43318) |
| 207RH0000X Internal Medicine, Hematology (Licence: MT MED-PHYS-LIC-39793) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 106221) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 55680) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2023-12-20 |