| NPI | 1134388051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2017-00812) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301091580) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 62716) | |
| 207R00000X Internal Medicine (Licence: MI 4301091580) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2023-04-05 |