| NPI | 1124089685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA C54719) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301087241) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301087241) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2021-03-22 |