| NPI | 1568687549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2007012285) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KS 04-32454) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2017-03-08 |