| NPI | 1538222302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 96-01636) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 96-01636) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-09-24 |