| NPI | 1629129747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 15405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225570) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-12-26 |