| NPI | 1992908347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T6810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME106470) |
| 174400000X Specialist (Licence: FL ME106470) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME106470) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M11347) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-08-10 |