| NPI | 1184935652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: SD 12013) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2016036721) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 67854) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2020-07-31 |