| NPI | 1184726184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME33797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 33797) |
| 207R00000X Internal Medicine (Licence: OK 28821) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 28821) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 33797) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-05-06 |