| NPI | 1265453047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 200000939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200000939) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-07-10 |