| NPI | 1588013643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: SD 13407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10586) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA R-11435) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA MD-47912) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-09-12 |