| NPI | 1356349112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0071741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.00717741) |
| 207R00000X Internal Medicine (Licence: CA G57111) | |
| 207R00000X Internal Medicine (Licence: WA MD61306843) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX J3475) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA g57111) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD61306843) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD27403) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2023-10-24 |