| NPI | 1295812733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2004012584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004012584) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 33191) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO G77126) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-03-17 |