| NPI | 1053497198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MN 34245) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MN 34245) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-10-26 |