| NPI | 1356387260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 28728) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2014-03-12 |