| NPI | 1013980853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: LA 202708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 37330) |
| 207R00000X Internal Medicine (Licence: LA MD.202708) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2017-01-05 |