| NPI | 1285831677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: GA 064230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002455) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: SC 36611) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2022-01-25 |