| NPI | 1598859084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2008032027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22023) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-10-22 |