| NPI | 1124227483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2022-02762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99612) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A99612) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 38014) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2022-10-19 |