| NPI | 1164505285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.202052) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL TRN5631) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 202052) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-07-20 |