| NPI | 1679592430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: NC 9600137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9600137) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 55000) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: NC 9600137) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-08-19 |