| NPI | 1063470011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 18538) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 55820) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-11-06 |