| NPI | 1346440518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD042661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99008) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A99008) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2015-01-05 |