| NPI | 1790933588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 54429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5854) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 54429) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 54429) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 105473) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2020-08-13 |