| NPI | 1235168808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M7447) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M7447) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-04-10 |