| NPI | 1255337259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD039841E) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR49094) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 29292) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2018-03-30 |