| NPI | 1386738862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GU M-1839) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI MD-12487) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-02-24 |