| NPI | 1467428698 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD22877) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101042934) | 
| Enumeration Date | 2006-02-27 | 
| Last Update Date | 2019-02-05 |