| NPI | 1043278567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 5907) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PR 5907) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |