| NPI | 1770585051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 40041) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 36296) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-06-02 |