| NPI | 1083667356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 00023658) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 23656) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME95921) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-05-20 |