| NPI | 1558418426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 31588) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD0000042600) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-10-03 |