| NPI | 1497770499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME88673) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME88673) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME88673) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-01-06 |