| NPI | 1639238371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A104791) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A104791) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-05-15 |