| NPI | 1528325529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 0060146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E9549) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2018-06-11 |