| NPI | 1588671085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 44541) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2006013748) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 20639) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-02-24 |