| NPI | 1568660561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME66653) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME66653) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2011-12-22 |