| NPI | 1639270440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 01848) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 17568) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN DO0000001848) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-05-11 |