| NPI | 1710903448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 57611) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 57611) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-03-18 |