| NPI | 1578982690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: VA 0101277698) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2020-02060) |
| 207R00000X Internal Medicine (Licence: VA 0101277698) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101277698) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-08-11 |