| NPI | 1376679860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: RI MD18301) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: TN MD48754) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN 48754) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-05-04 |