| NPI | 1588715916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M7509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7509) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 22877) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-6328) | |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2023-11-18 |