| NPI | 1558519603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME127975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051409) |
| 207RH0000X Internal Medicine, Hematology (Licence: IL 036-123422) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-08-09 |