| NPI | 1356332639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 220342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220342) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2012-09-07 |