| NPI | 1194872044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: NC 2009-00423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00423) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: NC 2009-00423) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-12-18 |