| NPI | 1447314372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 53339) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 166050) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 5439) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2017-03-25 |