| NPI | 1386694073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 26367) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD0000019543) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL IL036-07860) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-06-04 |