| NPI | 1609023803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2010024977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008017354) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 105570) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 54605) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2017-11-17 |