| NPI | 1457562753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 33430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0065308) |
| 207RH0000X Internal Medicine, Hematology (Licence: MD D65308) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-04-05 |