| NPI | 1477508786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2009001422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101235510) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-04-16 |