| NPI | 1134102536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 16102) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 24842) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G50238) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2023-10-31 |