| NPI | 1285682179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN MD23736) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: GA 042297) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-02-19 |