| NPI | 1467499087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 2013-01592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 226196) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-09-11 |