| NPI | 1457387698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME130130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301405932) |
| 207RH0000X Internal Medicine, Hematology (Licence: MI 4301405932) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301405932) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD423385) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301405932) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-02-07 |