| NPI | 1952366619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL OS5909) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: VA 0102208569) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 34.016906) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2024-05-31 |