| NPI | 1689648305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C53213) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-34644) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 22152) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 14507) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD28240) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 5506) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 18329) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-10-12 |