| NPI | 1750378717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35 094776) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD20040060) |
| 207RH0000X Internal Medicine, Hematology (Licence: OH 35.094776) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.094776) | |
| 207R00000X Internal Medicine (Licence: OH 35.094776) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2015-01-08 |