| NPI | 1902815814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 29871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 29871) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: KY 29871) | |
| 207ZH0000X Pathology Hematology (Licence: KY 29871) | |
| 207RH0000X Internal Medicine Hematology (Licence: KY 29871) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2014-09-17 |