| NPI | 1295857720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ID MC-2502) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CO CDRH.0061344) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 04-49199) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX K1430) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-04-19 |