| NPI | 1023054285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WY 9050A) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AK 4548) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-03-17 |