| NPI | 1689671034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A42484) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A42484) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2018-10-03 |