| NPI | 1477668911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2008-01883) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH RT-1468) |
| 207R00000X Internal Medicine (Licence: NC 2008-01883) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-07-10 |