| NPI | 1235138397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 4301046999) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301046999) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2014-02-24 |