| NPI | 1124277645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101253731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101253731) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2016-08-15 |