| NPI | 1073544532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME129420) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND 10238) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-07-23 |