| NPI | 1487989927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301034058) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2009-0654) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-11-02 |