| NPI | 1548358476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 230287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230287) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0065799) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-07-21 |