| NPI | 1710900337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 28999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 239748-1) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 239748) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 37718) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 04-34793) | |
| 207R00000X Internal Medicine (Licence: KS 04-34793) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-08-16 |