| NPI | 1275553307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G79910) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AK 210540) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD23655) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-11-27 |