| NPI | 1346223013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 34437) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 61509) |
| Enumeration Date | 2005-11-27 |
| Last Update Date | 2019-03-13 |