| NPI | 1356492482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WY 8989A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229811) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-03-09 |