| NPI | 1497915599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CO DR.0054503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6851476-1205) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 47626) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-10-04 |