| NPI | 1548455900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 83398) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 26128) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2019-10-07 |