| NPI | 1336150713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: NE 30605) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: MI 4301063096) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: AL 45191) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301063096) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: MI 4301063096) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-06-29 |