| NPI | 1164643714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL L4584DP) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0032598) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-09-13 |