| NPI | 1154532885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2023037002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 203059) |
| 207R00000X Internal Medicine (Licence: LA MD.203059) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 56629) | |
| 207R00000X Internal Medicine (Licence: TN 56629) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 20059) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-09-20 |