| NPI | 1154352615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2014-00991) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036104020) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 29164) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-06-24 |