| NPI | 1609834977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301506862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48589) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-124824) | |
| 207RH0000X Internal Medicine, Hematology (Licence: NY 286694) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-124824) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD163132) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 286694) | |
| 207RH0000X Internal Medicine, Hematology (Licence: CT 045699) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-05-12 |