| NPI | 1174576219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301105914) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 5828) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 238130) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-05-11 |