| NPI | 1518042415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME88326) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME88326) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI LF24447) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-06-27 |