| NPI | 1548263163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-135237) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD22283) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C55442) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 52718) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-04-28 |