| NPI | 1336147263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD19652) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E2370) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 15446) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2017-03-31 |