| NPI | 1205046927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2014-01289) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC MMD.33013TL) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-06-26 |