| NPI | 1316112634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TN DO2910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.002387) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 2910) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL UO2697) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 13558) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2022-03-16 |