| NPI | 1003055302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 62404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092523) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2014-07-15 |