| NPI | 1144479411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A131746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437380) |
| 207R00000X Internal Medicine (Licence: PA mt188309) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 244419) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2019-09-26 |