| NPI | 1598773806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME103696) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R5A27) |
| 207R00000X Internal Medicine (Licence: MO R5A27) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-04-09 |