| NPI | 1043308380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 7351825-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME96532) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-05-10 |