| NPI | 1396035176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 58434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 107519) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2018-08-28 |