| NPI | 1699095166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 252646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-243818) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2016-04-06 |