| NPI | 1558435438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR C-5837) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 34494) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX K0787) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |