| NPI | 1396714507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 021052) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 021052) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-05-26 |