| NPI | 1306953021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G58179) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G58179) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-07-24 |