| NPI | 1295929222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: RI MD 12341) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2007-09-03 |