| NPI | 1548340870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NM MD2007-0156) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: IN 01058741) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-06-02 |