| NPI | 1528173291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR-37894) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME90503) |
| 207R00000X Internal Medicine (Licence: FL ME90503) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-06-04 |