| NPI | 1275731358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME118177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01158) |
| 207R00000X Internal Medicine (Licence: FL ME118177) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-01-02 |