| NPI | 1437272010 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C149851) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083830) | 
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301083830) | |
| Enumeration Date | 2007-04-09 | 
| Last Update Date | 2022-06-07 |