| NPI | 1558376277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME97011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 28515) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 28515) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-11-13 |