| NPI | 1164618757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 268139) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME 017535) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2019-03-14 |