| NPI | 1710299557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MI 4301097364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094030) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2016-11-29 |