| NPI | 1346292232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC AL31343) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD472075) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC AL31343) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-08-04 |