| NPI | 1528177714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35184146) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35084146) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.084146) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-01-05 |