| NPI | 1154449114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101246281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085367) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: OK 25431) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX Q2742) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-03-16 |