| NPI | 1063469856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 2009-00759) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA G87657) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-01-24 |