| NPI | 1497783351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G20622) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G20622) |
| 207R00000X Internal Medicine (Licence: CA G20622) | |
| 207RH0000X Internal Medicine, Hematology (Licence: CA G20622) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI 24582) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-10-02 |