| NPI | 1447210638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 34978) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA 34978) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-12-14 |