| NPI | 1285714352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD462646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD30481) |
| 207R00000X Internal Medicine (Licence: NV 14552) | |
| 207RH0000X Internal Medicine, Hematology (Licence: NV 14552) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD30481) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 14552) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NV 14552) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-03-29 |