| NPI | 1194783712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MD D45343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D45343) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D45343) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-10-22 |