| NPI | 1114001138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D78398) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-4928) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-10-28 |