| NPI | 1194018689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 03718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R2674) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2019-02-22 |