| NPI | 1326048356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.207786) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 26582) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 15052) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR C8166) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2015-12-16 |