| NPI | 1154427920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A84935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A84935) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 53034) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-08-19 |