| NPI | 1437133352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042-0011226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD10934) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD10934) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 0420011226) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 217751) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-06-28 |