| NPI | 1184603979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME99973) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 26474) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2013-01-29 |