| NPI | 1194743716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 200401108) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 55348) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101261655) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-01-27 |