| NPI | 1144414798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 679777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35095801) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A117492) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 65931) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2023-08-16 |