| NPI | 1518970474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101250562) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 430107500) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-03-29 |