| NPI | 1659624856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME171356) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101265997) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101265997) | |
| 207RH0000X Internal Medicine, Hematology (Licence: VA 0101265997) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2025-01-03 |