| NPI | 1033229703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 11933) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042-0010016) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-07-12 |