| NPI | 1669507141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD035011) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 231774) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-01-21 |