| NPI | 1356430227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 12719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5765345-1205) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-08-30 |