| NPI | 1467417725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 6087) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 6087) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G87621) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-04-17 |