| NPI | 1164450904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD0000010750) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 50412) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2010-0762) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY TP814) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2017-06-20 |