| NPI | 1093988487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME112111) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD432485) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 062121) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 62121) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2020-02-12 |