| NPI | 1346351004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 27620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00026144) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-05-09 |