| NPI | 1770519126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C27145) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA C27145) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C27145) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-07-09 |