| NPI | 1336371277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2022-01281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 260922) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 31739) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2022-08-16 |