| NPI | 1497883565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: SC 34992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 134068) |
| 207R00000X Internal Medicine (Licence: FL ME104643) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-07-21 |