| NPI | 1134533805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND 17485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7207) |
| 207R00000X Internal Medicine (Licence: NE 29285) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 56145) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-01-13 |