| NPI | 1750437216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.11789R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD11789R) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-09-03 |