| NPI | 1346662806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A172372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD181941) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 275859) | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2021-12-13 |