| NPI | 1396975256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A115007) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 57153) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 106937) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2021-11-29 |