| NPI | 1487769733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA C166505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP00105) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 14755) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD168942) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-12-07 |