| NPI | 1336149012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME99453) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 22515) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.092778) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2016-03-18 |