| NPI | 1528026002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C55514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 216968) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-11-09 |