| NPI | 1194728543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD024855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD024855) |
| 207R00000X Internal Medicine (Licence: LA 024855) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 024855) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-11-15 |