| NPI | 1568548824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2021031740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021031740) |
| 207R00000X Internal Medicine (Licence: LA 15842R) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 83758) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.099608) | |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2021-09-07 |