| NPI | 1467664136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0052119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 9663A) |
| 207R00000X Internal Medicine (Licence: CO DR.0052119) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WY 9663A) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-03-17 |