| NPI | 1316901960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 44043) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI 05228) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-04-24 |