| NPI | 1578825824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A163760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 14492) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND 14492) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2019-09-06 |