| NPI | 1245568633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2022022795) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: KY FL044) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY FL044) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 8341061-1252) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 203443) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2022-07-27 |