| NPI | 1255388948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 061470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301037887) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-08-27 |