| NPI | 1326187311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 48469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2004-0252) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-08-17 |