| NPI | 1548454291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SD 8846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 8846) |
| 207RH0000X Internal Medicine, Hematology (Licence: SD 8846) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2019-04-17 |