| NPI | 1750348587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: RI MD05201) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 70358) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |