| NPI | 1588620025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 029103) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 029103) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |