| NPI | 1114013240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 8693) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042-0007883) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-07-20 |