| NPI | 1477694420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D86536) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M10441) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301089757) | |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2019-03-20 |