| NPI | 1720051493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A121394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224210) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 224210) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2013-02-28 |