| NPI | 1265619878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MD D0072463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD PP20574) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2017-04-20 |