| NPI | 1457793051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 20A14242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 5922) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2018-07-13 |