| NPI | 1760699003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 55788) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.121327) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 40559) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-06-02 |