| NPI | 1609017946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 49144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250433) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35095975) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301097497) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2022-12-16 |