| NPI | 1083670087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND 16017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 430104282) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-10-21 |