| NPI | 1831321546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 54266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53065) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 29227) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 53065) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2024-01-04 |