| NPI | 1164684395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301106087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301106087) |
| 207R00000X Internal Medicine (Licence: IL 125053531) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301106087) | |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2019-06-26 |