| NPI | 1073561536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 30252) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.05111R) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR-52800) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-07-25 |