| NPI | 1386902419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A120809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A120809) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-07-30 |