| NPI | 1306942644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C149361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006004166) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 268689) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2017-0211) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M5569) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-12-11 |