| NPI | 1396956181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 054510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57011200) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301101732) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 062880) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-05-23 |