| NPI | 1508153339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A146863) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: LA 310726) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME154495) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2024-05-29 |