| NPI | 1538359666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 42964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233624) |
| 207R00000X Internal Medicine (Licence: CT 42964) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2013-07-29 |