| NPI | 1427234277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 42932) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2011-00444) |
| 207R00000X Internal Medicine (Licence: NE 24979) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD160868) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2023-01-27 |