| NPI | 1871538421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 66435) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA G81278) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G81278) | |
| 207R00000X Internal Medicine (Licence: CA G81278) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-11-13 |