| NPI | 1689601460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D57984) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D28240) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2013-02-06 |