| NPI | 1366671943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 20662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A140899) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A140899) | |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2021-06-01 |