| NPI | 1760669899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 37274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA GA001592) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2014-06-30 |