| NPI | 1073810966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2015-0604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2015-0604) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2015-09-03 |