| NPI | 1356324271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 16465) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-18339) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2014-12-19 |