| NPI | 1811035447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0088857) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 33121) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 67635) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-07-31 |