| NPI | 1689660912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 0420009677) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 9677) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2014-12-04 |