| NPI | 1245237296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 30969) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101238245) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D86024) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2019-06-04 |