| NPI | 1295776383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 40335) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD060602L) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 25910) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-02-21 |