| NPI | 1316998362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 57115-20) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD0000036104) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 37154) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-07-05 |