| NPI | 1376785006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME93692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249924) |
| 207R00000X Internal Medicine (Licence: CA A109031) | |
| 207RH0000X Internal Medicine, Hematology (Licence: CA A109031) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A109031) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2022-10-03 |