| NPI | 1669400545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME51535) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL me51535) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-02-20 |