| NPI | 1548468358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 134631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 134631) |
| 207RH0000X Internal Medicine, Hematology (Licence: CA 134631) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-08-29 |