| NPI | 1154563260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2016-00446) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 254746) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2017-09-14 |