| NPI | 1578904173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 51990) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ R75422) |
| 207R00000X Internal Medicine (Licence: GA RTP006478) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 29760) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-09-03 |