| NPI | 1144295700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101020416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 34479) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2012-07-27 |