| NPI | 1700089331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301085844) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: MI 4301085844) |
| 207R00000X Internal Medicine (Licence: MI 4301085844) | |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2016-10-28 |