| NPI | 1982861977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MI 4301094107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57011365) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301094107) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: MI 4301094107) | |
| 207R00000X Internal Medicine (Licence: MI 4301094107) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2012-08-21 |