| NPI | 1689837379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 67184) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: SC 34865) |
| 207RH0000X Internal Medicine, Hematology (Licence: CA A115644) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 66182) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-09-22 |