| NPI | 1467739011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U1130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098587) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.140787) | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2023-07-31 |