| NPI | 1396740825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 4301402829) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI HS402829) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2012-04-23 |