| NPI | 1205827730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA OS0003816L) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NJ 25MB07696300) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: DE C20009108) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-07-11 |