| NPI | 1700059383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 53988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53988-021) |
| 207R00000X Internal Medicine (Licence: WI 53988) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA OP 60533393) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2020-10-01 |