| NPI | 1104849231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD429107) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA 25MA06677600) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-10-02 |