| NPI | 1750364683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME0022832) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AL 18920) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |