| NPI | 1366626343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN MN-TEMP104791) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D66182) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2010-04-19 |