| NPI | 1538260104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 47194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47194) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 61813) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-07-21 |