| NPI | 1467433979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WY 6512A) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 9660) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2010-09-08 |