| NPI | 1528287174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A106689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190228) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-06-16 |