| NPI | 1487970653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 43240) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME105476) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2011-06-07 |