| NPI | 1497963979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME106972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 044133) |
| 207R00000X Internal Medicine (Licence: FL ME106972) | |
| 207RH0000X Internal Medicine, Hematology (Licence: CT 044133) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME106972) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 044133) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME106972) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-02-17 |