| NPI | 1659323608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-5722) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 40968) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-10-24 |