| NPI | 1669813978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 51698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 26434) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 26434) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-10-04 |