| NPI | 1316922008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 30026) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 54262) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 59022) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-09-10 |