| NPI | 1689891129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 257257) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: RI LP00533) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-11-26 |