| NPI | 1306880331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 41609) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 17188) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-04-18 |