| NPI | 1265675433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO Dr.0057961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0057961) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2018-03-09 |