| NPI | 1548246655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 44431) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 46678) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A108916) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-02-09 |