| NPI | 1205958360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C137559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00512) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD166978) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2009-00512) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-06-03 |