| NPI | 1508890641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 220869) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX M0471) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: OK 30356) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA 452241) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-11-03 |