| NPI | 1467418905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WY 7809A) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: WY 7809A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD23076) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-07-04 |