| NPI | 1528320918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 34792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 34792) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 210091) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2016-01900) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2021-01-28 |