| NPI | 1699764878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 9701282) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NC 97-01282) |
| 207RH0000X Internal Medicine Hematology (Licence: NC 9701282) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: NC 9701282) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2022-12-29 |