| NPI | 1215930268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX J5662) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J5662) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-11-25 |