| NPI | 1578649430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME98970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301077246) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301077246) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301077246) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-02-01 |