| NPI | 1568418358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301035671) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01034223A) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-05-4332A) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-05-09 |