| NPI | 1669511663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2012-0096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 27014) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-01-18 |