| NPI | 1053588731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 066068) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 66068) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2018-10-31 |