| NPI | 1497967194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: LA MD.203644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.203644) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-01-23 |